Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache

Abstract Purpose The aim of this study is to compare the quality of life, daily physical activity level and perception of illness in patients with chronic daily headache, medication‐overuse headache, episodic migraine, and episodic tension‐type headache across disease subgroups with respect to possi...

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Main Authors: Gülcan Taşçatan, Hüseyin Tuğrul Atasoy, Esra Acıman Demirel, Vildan Çakır Kardeş, Mustafa Açıkgöz, Ulufer Çelebi, Bilge Piri Çınar, Bilgehan Açıkgöz, Aynur Özge
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Brain and Behavior
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Online Access:https://doi.org/10.1002/brb3.70407
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author Gülcan Taşçatan
Hüseyin Tuğrul Atasoy
Esra Acıman Demirel
Vildan Çakır Kardeş
Mustafa Açıkgöz
Ulufer Çelebi
Bilge Piri Çınar
Bilgehan Açıkgöz
Aynur Özge
author_facet Gülcan Taşçatan
Hüseyin Tuğrul Atasoy
Esra Acıman Demirel
Vildan Çakır Kardeş
Mustafa Açıkgöz
Ulufer Çelebi
Bilge Piri Çınar
Bilgehan Açıkgöz
Aynur Özge
author_sort Gülcan Taşçatan
collection DOAJ
description Abstract Purpose The aim of this study is to compare the quality of life, daily physical activity level and perception of illness in patients with chronic daily headache, medication‐overuse headache, episodic migraine, and episodic tension‐type headache across disease subgroups with respect to possible risk factors such as alcohol/caffeine/nicotine use, eating attitude, which may trigger chronic headache and medication overuse. Materials and Methods VAS, International Physical Activity Questionnaire (Short) forms, SF‐36 Quality of Life Scale, Illness Perception Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, Eating Disorder Examination Questionnaire, Eating Attitude Test, SCID‐I were applied to the patients. Results Disease type mean score and psychological causes mean score were found to be the highest in the chronic tension type headache (CTTH) group among tension type headache (TTH) subgroups. Among the subgroups of migraine patients, the mean score of risk‐related causes was found to be the highest in chronic migraine with medication overuse (MOH‐M). The mean score of psychological causes was found to be significantly higher in patients with CTTH with medication overuse (TTH‐MOH) compared to patients with MOH‐M. Worsening of body pain was significant in CDH‐M and MOH‐M, whereas worsening in physical role difficulty, emotional well‐being, general health perception was significant in CTTH and TTH‐MOH. Conclusions In the TTH group, BMI was found to be statistically significantly higher compared to the migraine group. Similarly, in the TTH‐MOH group, BMI was higher than in the MOH‐M group. This finding suggests that the relationship between TTH and obesity warrants further attention. Our study also showed that patients with TTH‐MOH experience greater difficulties in daily life and work compared to those in the MOH‐M group. Additionally, TTH‐MOH patients are more likely to attribute the cause of their current headaches to psychogenic factors, in comparison to MOH‐M patients. Findings suggest that psychosocial factors have a greater influence on the chronicity of the disease and the emergence of medication overuse in the TTH group compared to the migraine group.
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spelling doaj-art-ee41e508f4d744eea5cc61edebdd11f52025-08-20T03:08:36ZengWileyBrain and Behavior2162-32792025-03-01153n/an/a10.1002/brb3.70407Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse HeadacheGülcan Taşçatan0Hüseyin Tuğrul Atasoy1Esra Acıman Demirel2Vildan Çakır Kardeş3Mustafa Açıkgöz4Ulufer Çelebi5Bilge Piri Çınar6Bilgehan Açıkgöz7Aynur Özge8Zonguldak Alaplı State HospitalZonguldak Bulent Ecevit University Faculty of Medicine Department of Neurology TurkeyZonguldak Bulent Ecevit University Faculty of Medicine Department of Neurology TurkeyZonguldak Bulent Ecevit University Faculty of Medicine Department of Mental Health and Diseases TurkeyZonguldak Bulent Ecevit University Faculty of Medicine Department of Neurology TurkeyZonguldak Bulent Ecevit University Faculty of Medicine Department of Neurology TurkeySamsun University Faculty of Medicine Department of Neurology TurkeyZonguldak Bulent Ecevit University Faculty of Medicine Department of Public Health TurkeyMersin University Faculty of Medicine Department of Neurology TurkeyAbstract Purpose The aim of this study is to compare the quality of life, daily physical activity level and perception of illness in patients with chronic daily headache, medication‐overuse headache, episodic migraine, and episodic tension‐type headache across disease subgroups with respect to possible risk factors such as alcohol/caffeine/nicotine use, eating attitude, which may trigger chronic headache and medication overuse. Materials and Methods VAS, International Physical Activity Questionnaire (Short) forms, SF‐36 Quality of Life Scale, Illness Perception Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, Eating Disorder Examination Questionnaire, Eating Attitude Test, SCID‐I were applied to the patients. Results Disease type mean score and psychological causes mean score were found to be the highest in the chronic tension type headache (CTTH) group among tension type headache (TTH) subgroups. Among the subgroups of migraine patients, the mean score of risk‐related causes was found to be the highest in chronic migraine with medication overuse (MOH‐M). The mean score of psychological causes was found to be significantly higher in patients with CTTH with medication overuse (TTH‐MOH) compared to patients with MOH‐M. Worsening of body pain was significant in CDH‐M and MOH‐M, whereas worsening in physical role difficulty, emotional well‐being, general health perception was significant in CTTH and TTH‐MOH. Conclusions In the TTH group, BMI was found to be statistically significantly higher compared to the migraine group. Similarly, in the TTH‐MOH group, BMI was higher than in the MOH‐M group. This finding suggests that the relationship between TTH and obesity warrants further attention. Our study also showed that patients with TTH‐MOH experience greater difficulties in daily life and work compared to those in the MOH‐M group. Additionally, TTH‐MOH patients are more likely to attribute the cause of their current headaches to psychogenic factors, in comparison to MOH‐M patients. Findings suggest that psychosocial factors have a greater influence on the chronicity of the disease and the emergence of medication overuse in the TTH group compared to the migraine group.https://doi.org/10.1002/brb3.70407addictionchronic daily headachemedication‐overuse headachemigrainetension‐type headache
spellingShingle Gülcan Taşçatan
Hüseyin Tuğrul Atasoy
Esra Acıman Demirel
Vildan Çakır Kardeş
Mustafa Açıkgöz
Ulufer Çelebi
Bilge Piri Çınar
Bilgehan Açıkgöz
Aynur Özge
Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache
Brain and Behavior
addiction
chronic daily headache
medication‐overuse headache
migraine
tension‐type headache
title Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache
title_full Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache
title_fullStr Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache
title_full_unstemmed Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache
title_short Evaluation of Risk Factors in Patients With Chronic Daily Headache and Medication‐Overuse Headache
title_sort evaluation of risk factors in patients with chronic daily headache and medication overuse headache
topic addiction
chronic daily headache
medication‐overuse headache
migraine
tension‐type headache
url https://doi.org/10.1002/brb3.70407
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